| Doctor Name: | ANGELA R LAROCQUE |
| NPI Number: | 1386822864 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 408 |
| Business Practice Address: | 1 Hospital Rd Belcourt, ND - 583160160 |
| Business Phone Number: | 7014776111 |
| Business Fax Number: | 7014778401 |
| Mailing Address: | Po Box 160, BELCOURT |
| State: | ND |
| Postal Code: | 583160160 |
| Phone Number: | 7014776111 |
| Fax Number: | 7014778401 |
| NPI Enumeration Date: | 02/06/2008 |
| NPI Last Update Date: | 02/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 408 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |